1. Investigating Conceptual Models for the Relationship Between Depression and Condomless Sex Among Gay, Bisexual, and Other Men Who have Sex with Men: Using Structural Equation Modelling to Assess Mediation
- Author
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Alison Rodger, A. Cozzi Lepri, Andrew Speakman, AN Phillips, Monica Lascar, Daniel R Ivens, Fiona C Lampe, Nneka Nwokolo, Lorraine Sherr, Janey Sewell, Simon Collins, Christopher Scott, Sris Allan, Jonathan Elford, and Ada Miltz
- Subjects
Adult ,Male ,medicine.medical_specialty ,Mediation (statistics) ,Social Psychology ,Adolescent ,media_common.quotation_subject ,Sexual Behavior ,HIV Infections ,Sexual behaviour ,Structural equation modeling ,Men who have sex with men ,Condoms ,03 medical and health sciences ,Sexual and Gender Minorities ,Young Adult ,0302 clinical medicine ,Risk-Taking ,medicine ,Humans ,030212 general & internal medicine ,Homosexuality, Male ,Depression (differential diagnoses) ,media_common ,Original Paper ,030505 public health ,Unsafe Sex ,Depression ,Public health ,Public Health, Environmental and Occupational Health ,Middle Aged ,Recreational drug use ,Health psychology ,Infectious Diseases ,Cross-Sectional Studies ,Sexual Partners ,England ,Latent Class Analysis ,Structural equation modelling ,Conceptual model ,Female ,0305 other medical science ,Psychology ,Gay, bisexual and other men who have sex with men (MSM) ,Clinical psychology - Abstract
The aim of this study is to investigate five hypothesized mechanisms of causation between depression and condomless sex with ≥ 2 partners (CLS2+) among gay, bisexual, and other men who have sex with men (GBMSM), involving alternative roles of self-efficacy for sexual safety and recreational drug use. Data were from the AURAH cross-sectional study of 1340 GBMSM attending genitourinary medicine clinics in England (2013–2014). Structural equation modelling (SEM) was used to investigate which conceptual model was more consistent with the data. Twelve percent of men reported depression (PHQ-9 ≥ 10) and 32% reported CLS2+ in the past 3 months. AURAH data were more consistent with the model in which depression was considered to lead to CLS2+ indirectly via low self-efficacy for sexual safety (indirect Beta = 0.158; p
- Published
- 2019